Nursing Elites

1. Asepsis is defined as ________________.

• A. the absence of all microorganisms
• B. the absence of disease-causing germs
• C. a urinary infection
• D. a pathogenic infection

Correct answer: B

Rationale: Asepsis is defined as the absence of disease-causing germs. It is surgical asepsis that is defined as the absence of all microorganisms, including spores. A pathogenic infection is an invasion of the body by a pathogen, or disease-causing germ, and a urinary infection is only one type of infection.

2. If you are caring for a patient of the Hindu culture, what may you anticipate regarding visitors?

• A. Limited visitors, respectful of privacy
• B. Family members only
• C. Large number of visitors/community support
• D. None of the above

Correct answer: C

Rationale: In Hindu culture, there is a strong sense of community and support. It is common for a patient to receive a large number of visitors, indicative of the community coming together to provide emotional and practical support. This support network is crucial for the patient's well-being and healing process. Option A, limited visitors, is incorrect as the Hindu culture values community involvement. Option B, family members only, is incorrect as the support network extends beyond just family. Option D, none of the above, is incorrect as the Hindu culture typically involves community support and a significant number of visitors.

3. What preparation is necessary for a colposcopy procedure?

• A. NPO for 8-12 hours before the procedure.
• B. D/C all hypertension medications for two days prior to the procedure.
• C. Take three Dulcolax tablets and two containers of Miralax the day before to clear out the lower GI system.
• D. None of the above prep is necessary for this type of procedure.

Correct answer: D

Rationale: A colposcopy procedure is performed to examine the vagina and cervix. The only preparation required is washing the external genitals with soap and water on the morning of the procedure. Choices A, B, and C suggest unnecessary preparations that are not relevant to a colposcopy. NPO for 8-12 hours, discontinuing hypertension medications, and using laxatives are not part of the standard preparation for a colposcopy.

4. Albert B. is incontinent of urine. He also wears glasses and hearing aids. His ____________lead(s) to his risk for falls.

• A. incontinence and loss of vision
• B. loss of vision
• C. incontinence
• D. loss of hearing

Correct answer: B

Rationale: Albert B. is at risk for falls due to two factors: his incontinence and his loss of vision. Loss of vision significantly impairs one's ability to navigate and avoid obstacles, thereby increasing the risk of falls. While incontinence is a risk factor for falls, the primary concern in this case is the loss of vision since it directly affects balance and safety. Therefore, the correct answer is 'loss of vision.' Choices A, C, and D are incorrect because they do not address the key factor of impaired vision leading to the risk of falls.

5. A healthcare professional is preparing to insert an indwelling catheter in a female client. Which of the following positions of the client is most appropriate for this procedure?

• A. Lithotomy position
• B. Prone position
• C. Dorsal recumbent position
• D. High Fowler's position

Correct answer: C

Rationale: When preparing to insert an indwelling catheter for a female client, the most appropriate position is the dorsal recumbent position. In this position, the client lies on their back with knees bent. This position allows for easy access to the urethral area for catheter insertion. The lithotomy position, with legs elevated and spread apart, is more invasive and typically used for gynecological exams. The prone position, lying face down, is not suitable for catheter insertion. High Fowler's position, sitting upright at a 90-degree angle, is not ideal for catheter insertion as it does not provide proper access to the perineal area.

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